The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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Ratings for the HIV/AIDS, Malaria and
Tuberculosis Control (HAMSET) Project for Angola were as
follows: outcomes were moderately satisfactory; risk to
development outcome... Show More + was moderate; Bank performance was
moderately satisfactory; borrower performance was also
moderately satisfactory. Some lessons learned include:
capacity building for results: the lack of capacity in
Angola during the period of project implementation needs to
be recognized and a review of performance and results
achieved needs to take this firmly into account.
Implementation arrangements: the establishment of a PCU in
the Ministry of Health (MoH), and not the National AIDS
Council Multi - Sectoral AIDS project (as with other MAP
projects) was positive and relevant at the time. It allowed
the Project Coordinating Unit (PCU) to develop strong links
with each of the three disease programs. Integration and
efficiency: looking ahead Angola should focus more on
integration of disease specific programs and do more to
address system wide constraints. Also further attention
should be given to the efficiency and cost effectiveness of
services delivered, to maximize value for money.
Geographical targeting: any geographical targeting of most
in need populations by the project should be documented and
accompanied by a clear rationale. Flexibility but with a
focus on desired results: the project provided a good degree
of flexibility to respond to the rapidly evolving needs and
also provided support to fill critical gaps in the national
plans. However in supporting new activities the project gave
up and missed opportunities to fund some critical
interventions (in the original plans) which would have
provided a more direct contribution to the projects desired
results. (M and E) Monitoring and Evaluation. The Angolan
context requires that special attention and support be given
in all projects to M and E, especially to establish the
baseline and end line data for the project. Show Less -

The Angola HIV/AIDS, Malaria, and
Tuberculosis Control Project reduces the spread of HIV/AIDS
in the Angolan population through a multi-sector approach
that strengthens... Show More + institutional capacity and increases
access, and use of quality health services for prevention,
diagnosis, treatment, and care and support. The project
has four components: (1) Public Sector Response; (2) Health
Sector Response; (3) Community Response; and (4) Project
Coordination. Component 1 includes three subcomponents: (a)
capacity building of participating line ministries and local
government agencies; (b) support to line ministries to
reduce the impact of HIV/AIDS, malaria and TB on their staff
and dependents; and (c) support to line ministries to reduce
the impact of the same three diseases on external clients of
line ministries. Component 2 helps: (a) strengthen the MOH
capacity to implement the national AIDS strategy; (b)
improve the information and epidemiological surveillance
system; (c) slow the expansion of the HIV/AIDS epidemic; and
(d) mitigate the impact of HIV/AIDS on persons, families and
society. Component 3 finances community-based initiatives. Show Less -

This paper evaluates World Bank
activities to prevent and mitigate the effects of AIDS in
all regions of the developing world during fiscal years 1986
to 1996. It first... Show More + prioritizes HIV-prevention and treatment
interventions using the principles of public economics.
Based on this framework, it assesses the appropriateness of
Bank lending and grants, Bank Country Assistance Strategies,
and country economic and sector work. While the Bank
provided extensive assistance for efforts to collect
information (surveillance and behavioral studies), support
was less extensive for interventions that focus on reducing
risky behaviors of those at highest risk for contracting and
transmitting HIV. Few of the projects reviewed in the paper
relied on strong economic analysis in ex-ante or ex-post
evaluation. These findings suggest two primary challenges
for the World Bank: (i) to focus its support for HIV
prevention interventions that reach groups at highest risk
to contract and spread HIV; and (ii) to improve the economic
analysis used in preparing Bank HIV-related projects and in
evaluating their effectiveness. Show Less -